1420 County Line RdDavie County, NG Tax Parcel Report Wednesday, October 12, 2016
WARNING: TI3IS IS NOT A SURV�Y
Parcel Information
Parcel Number: G100000019 Township:
NCPIN Number: 5800144359 Municipality:
Account Number: 8301121 Census Tract:
Listed Owner 1: ROBINSON PHILLIP S JR Voting Precinct:
Mailing Address 1: PO BOX 81 Planning Jurisdiction:
City: HARMONY Zoning Class:
Calahaln
37059-801
NORTH CALAHALN
Davie County
DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 28634 Voluntary Ag. District: No
Legal Description: 29.260 AC COUNTY LINE RD Fire Response District: SHEFFIELD - CALAHALN
Assessed Acreage: 29.15 Elementary School Zone: WILLIAM R DAVIE
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
6/2012 Middle School Zone: NORTH DAVIE
008920990 Soil Types: PaD,PcC2,RnD,CeB2
Flood Zone:
Watershed Overlay:
93230.00 Outbuilding & Extra
Freatures Value:
114060.00 Total Market Value:
218000.00
DAVIE COUNTY
10710.00
218000.00
9�,tl ��, All data Is provided as is without warranty or guarontee of any klnd either expressed or Implied Includfng but not limited to the
Davie County� Implied warranties of inerchanta6ility or fitness for a paRlcular use. All users of Davie County's GIS website shall hold harmless the
N� County of Davie, NoRh Carolina, its agents, consultants, contractors or employees from any and all claims or causes oT actlon due to
�'p��Nq"� or arisfng out of the use or Inability to use the GIS data provided by this website.
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a[rri3oR�ATioN rro: ' DAVIE COUNTY HEALTH DEPARTM �l ��-/1��� vx�
, � � �J i ENT
' �� Environmental Health Section PROPERTY INFORMATION
Permitfee's . ,! � + P.O. Box 848
Name: '-- ��+��=� _( lJl�l i�^f �� 1� 1�L. Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to property: ��1•��' ��11� �i t? Section: Lot:
/'� ` AUTHORIZATION FOR �l
�>tiiE:..%� 1CL(.� �+� r��.j�.r+� t l.•j 11�. J WASTEWATER Tax Of6ce PIN:# ���V - I�-I _`�`Y.�Sr��
SYSTEM CONSTRUCTION
���i,+,�fi4� La�: tCL• _ RoadName: ,., ����G. Zip: G�t3�.
**NOT'E** This Authorization for Wastewater System Constcvction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of C.�.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
l % i
' �;�;i'��� ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
�
�� "'� r-��, ��"� �� IS VALID FOR A PERIOD OF FIVE YEARS.
���.
�--BNVIRONIv1 I�A%'�HEALTH S�',�'CIAL�'I` DATE SS D
� .�..� � :. . � � i� .� � . , . _ , ��. o?� -/I::�D �/;�a
�`�'�� `~' - �� : ��' :;� �� DAVIE COUNTY HEALTH DEPARTMENT
' � ��' IMPROVEMENT AND OPERATION PERMITS
_ ia =- ',,
- �Perm�ttee's `'` ' :� , �
Name. -�-- �:.���` �_1 .� � �'� ,'�� � � L� �: ty°._
~ �Directions to property: � y t �. ��� �. L� t `� . i � :�
` ' ,. . �., r
_ 4 i �. ( ; � G:c. �'' �-", ; , t � .... �p �;�: rS � i. :� ��� �,,.)
. � -
_ ' � t -c yl:;� ,s� L.� 1 � �'�. � t'.:'"-=�
PROPERTY INFORMt1TION
Subdivision Name:
Section: Lot:
Il�IPROVEMENT ,
r ^ : ; �! �/ :"':-
PERMIT Tax Office PIN:# ,'-'`; _ � _ -` =� � `
f �. : ;� :. ,
Road Name �t. �., ;_ii r' � I�' �4 Zip; f a ;
**NOT'E** This Improvement Pernut DOFS NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AU'I'HORIZATTON FOR WASTEWATER SYST'EM CONSTRUCT'ION must be obtained frc�m this Department prior to the
constcuction/installation of a system or the issuance of a building pemut.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
. , -j.h.- ..,.,... _ ., . , _ _ ' "" . .
;,> ,� ***NOTICE*** TI�QS PERNIIT LS SUBJECT TO REVOCATION IF SITE
x � '". ,� � : �: � _....:� � ,� `.� �� PLANS OR TEIE INTENDED USE CHANGE. YOUR WASTEWATER
- ENVIRONMENTAL HEALTH SPECIALIST DATE SSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
- INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE i�+� # BEDROOMS � # BATHS *� # OCCUPANTS ' GARBAGE DISPOSAL: Yes ot.[�jo_�
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE�•���I YPE WATER SUPPLY �i%�-L' DESIGN WASTEWATER FLOW (GPD) ��'� NEW SITE "''� REPAIR SITE
+i � /%�1 I
SYSTEM SPECIFICATIONS: TANK SIZE (� GAL. PUMP TANK GAL. TRENCH WIDTH �� ROCK DEPTH ��' LINEAR Ff. "'Y �-) �
o�r�tEx t L`�, �T2t �tri�o �J �c�t� �
REQUIREDSITEMODIFICATIONS/CONDITIONS: �`"�'t"'` �!"���"�"'���� `�����,'^�"" ��"� �'����n"^
IMPROVEMENT PERMITLAYOUT I q.Qg
$Mdd�y ���•osS- C�..�i• Ca.11s� S-a.�P
1�0�.-4�d� �► u u. g o f�u�.�•� �
tMa�.t l�� —'� S'a:.�D vw -tir+�w � u u.
�'� 31�'' � V� c�,,�,
- � I2�� ` u�.:=.5
" �[_.�' � � �%/!jC / nlr�,.
�'G T�t1.:i;.'J
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:�j 011 R� E I.Q�CG�
����
���
�
� ��1 . �� s %�
AUTHORIZATION NO. 1� 3? OPERATION PERMIT BY: DATE.
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICA HAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SEGTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCI'ION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD OS/96 (Revised)
, APPLICATION FOR SITE EVALUATION/IMPROVEMENTS F�ER � a
Davie County Health Department � ^ � � "
Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
-/ 1� .� J;,� s:i,.Ll E.,, �;
1. Application/Permit Requested By '�(L�S��� � - ����0 UC __ _ 1` �r+ fi '6 � �'.��-, `
- � �..--� ,,
Mailing Address Home Phone�� �C� — 7-3 �— �f �
/CIG eusiness Phone �In � 7(a5- d-���
2. Name on Permit if Different than Above
3. Application for:
4. System to Serve:
❑ Business
,;�General Evaluation
� House
❑ Industry
5. If house, mobile home: Subdivision
No. of People �
No. of Bedrooms 3
No. of Bathrooms �
Dweiling Dimensions
.�Septic Tank Installation Permit
p Mobile Home � Place of Public Assembly
❑ Other
6. If business, industry, place of public assembly, other: Specify type J��1�
No. of People Served
No. of Commodes _
No. of Lavatories _
No. of Showers
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
❑ Unknown
Section Lot #
❑ BasemenUPlumbing
❑ BasemenUNo Plumbing
,� Washing Machine
�Dishwasher
� Garbage Disposal
7. Type of water supply: ❑ Public • � Private ❑ Communiry
8. Property Dimensions �� x 3i$� x�b�x 3l��ewage Disposal Contractor ("����/11//IP�i
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ,� No
If yes, what type?
t
'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvement� Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property:
�,(� }� loz� �11 � ,5he-C�e1d /�.d �-z� I�t-
6n C,�,n� �-� ne R,d . PraQe�i-y or�
�P_�=4- 01�'�2('�C . i�UO -�t ��' �(.tk�(cis �i •
� a,�`��� 1'�1� �o r P�5 ►(�-�
ae:c�tis � bu.�ld �n� 5��'e��
Pi�OPEP�TY IPIFORI-f��TION P.�QL' L;���7 :
Tas Office PIN -,'� �g� )l�L�`�5G]
F.oad Name ��py1�i��_.�.1
�o�: �� (if available)
City %��jl�l � � � . /��' _ �71J2�3
This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all
incurre from this application. ' �
U
DATE SI ATU E
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: � 1. I OWN the property. �.2. I DO NOT OWN the property.
If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
I hereby give consent to the authorized representa ve of the Davie Cou ty Health Department to enter upon above described
property located in Davie Counry and owned by ��n �. ;�J'�dLl)/")
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disp sal s stem.
�
DATE ATU E
DCHD (1/93)
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-_ — __ . __ ,.,- ,
� ; . � . DAVIE COUNTY HEALTH DEPARTMENT
• Environmental Health Section SECTION LOT
SoiUSite Evaluation
�Ss�z.,�- i��►-��� �i c� I � �
APPLICANT'S NAME � DATE EVALUATED
PROPOSED FACILITY �.5�`d PROPERTY SIZE ZQI • 2� ��—�-� ---7�
SUBDIVISION ROAD NAME C�t, ►�T' i u eJ� ��
Water Supply:
Evaluation By:
FACTORS
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
HORIZON II DEPTH
Texture group
Consistence
Structure
HORIZON III DEPTH
Texture group
Consistence
Structure
HORIZON IV DEPTH
Texture group
Consistence
Structure
On-Site Well � Community
Auger Boring ✓ Pit
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: r �
1
2
L
3�
� -!y
C -�, •
f 55'
�
�000�
�---�
�---_
�---�
�����
��----
��---�
�'----
��---_
7������
EVALUATION BY: d��-G ►�-tJ�
LONG-TERM ACCEPTANCE RATE: fS. 2�5� OTHER(S) PRESENT:
REMARKS: � � ��,� �DGL� �i � ��f-;Gi' �vi{�51€.'7�1 SN4l�� ��'1" „J �Qe�Tol- TO �c�tiF� U�
LEGEND �;��,1Cd
Landscape Position
R- Ridge S- Shoulder L- Linear slope FS - Foot slope N- Nose slope
CC - Concave slope CV - Convex slope T- Terrace FP - Flood plain H- Head slope
Texture
S- Sand LS - Loamy sand SL - Sandy loam L- Loam SI - Silt
SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam
SC - Sandy clay SIC - Silty clay C- Clay
CONSISTENCE
DCHD (O]-90)
Moist
VFR - Very friable
Wet
NS - Non sticky
NP - Non plastic
FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm
SS - Slightly sticky S- Sticky VS - Very Sticky
SP - Slightly plastic P- Plastic VP - Very plastic
Structure
SC - Single grain M- Massive CR - Crumb GR - Granular ABK - Angular blocky
SBK - Subangulaz blocky PL - Platy PR - Prismatic
3-���.
MineraloEv
1:1, 2:1, Mixed
Notes
Horizon depth - In inches
Depth of fill - In inches
Restrictive horizon - Thickness and inches from land surface
Saprolite - S(suitable), U(unsuitable)
Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less
Classifcation - S(suitable), PS(provisionally suitable), U(unsuitable)
LTAR - Long-term acceptance rate - gal/day/ft2
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